10 IRVING STREET- CLAIM TRAVELERSJCLAIM PROFESSIONALMow
eheriand@travelers.com
City of Salem Building Inspector (603)204-0874
120 Washington St
Salem, MA 01970
Claim Number
IMV6198
March 17,2023
Dear City of Salem Building Inspector, —�
TO: Board of Selectmen Date of loss
Building Commissioner March 14,2023 i
Inspector of Buildings
Board of Health
A claim has been made involving loss,damage or destruction of the above
captioned property which may either exceed$1,000 or cause Massarh 1sett
mineral Laws Chapter 143 Se ion 6 to be applicable.If any notice under Loss location
Massachusetts General Laws Chapter 139 Section 3B is appropriate,please direct j 10 IRVING ST
it to my attention and include a reference to our insured,the policy number,the
claim/file number,the date of loss,and the location. SALEM MA 01970
Questions? Insured name: KELLY
If you have an P FERNANDES
Y y questions, lease contact us. Underwriting TRAVELERS
Company: PERSONAL
Dn this date, I caused copies of this notice to be sent to the persons named above INSURANCE
at the addresses indicated above by first class mail. COMPANY
signature Date
w,AR 24 PM12:11
MAR
D062 7/21
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